Impact of a Family Economic Intervention (Bridges) on Health Functioning of Adolescents Orphaned by HIV/AIDS: A 5-Year (2012-2017) Cluster Randomized Controlled Trial in Uganda.
Am J Public Health
; 111(3): 504-513, 2021 03.
Article
em En
| MEDLINE
| ID: mdl-33476237
ABSTRACT
Objectives. To investigate the long-term impacts of a family economic intervention on physical, mental, and sexual health of adolescents orphaned by AIDS in Uganda.Methods. Students in grades 5 and 6 from 48 primary schools in Uganda were randomly assigned at the school level (cluster randomization) to 1 of 3 conditions (1) control (n = 487; 16 schools), (2) Bridges (11 savings match rate; n = 396; 16 schools), or (3) Bridges PLUS (21 savings match rate; n = 500; 16 schools).Results. At 24 months, compared with participants in the control condition, Bridges and Bridges PLUS participants reported higher physical health scores, lower depressive symptoms, and higher self-concept and self-efficacy. During the same period, Bridges participants reported lower sexual risk-taking intentions compared with the other 2 study conditions. At 48 months, Bridges and Bridges PLUS participants reported better self-rated health, higher savings, and lower food insecurity. During the same period, Bridges PLUS participants reported reduced hopelessness, and greater self-concept and self-efficacy. At 24 and 48 months, Bridges PLUS participants reported higher savings than Bridges participants.Conclusions. Economic interventions targeting families raising adolescents orphaned by AIDS can contribute to long-term positive health and overall well-being of these families.Trial Registration. ClinicalTrials.gov registration no. NCT01447615.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pobreza
/
Síndrome da Imunodeficiência Adquirida
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Saúde do Adolescente
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Crianças Órfãs
Tipo de estudo:
Clinical_trials
/
Evaluation_studies
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Health_economic_evaluation
Limite:
Adolescent
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Female
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Humans
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Male
País/Região como assunto:
Africa
Idioma:
En
Revista:
Am J Public Health
Ano de publicação:
2021
Tipo de documento:
Article